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大都市机场灾难预案——多医院协同响应,在疏散前提供现场复苏和稳定治疗。

A metropolitan airport disaster plan--coordination of a multihospital response to provide on-site resuscitation and stabilization before evacuation.

作者信息

Dove D B, Del Guercio L R, Stahl W M, Star L D, Abelson L C

出版信息

J Trauma. 1982 Jul;22(7):550-9. doi: 10.1097/00005373-198207000-00005.

DOI:10.1097/00005373-198207000-00005
PMID:7097815
Abstract

At the John F. Kennedy International Airport in New York City, disaster planning has been an integral part of the airport operations for the past 20 years. The medical component of this disaster planning has focused around the Medical Office at JFK. Through this office, on-site emergency medical teams have been established and trained from all ranks of airport personnel. Following the crash of a Boeing 727 aircraft in 1975, a new concept was added to disaster planning for JFK, which involves bringing the hospital, its facilities, and its personnel to the scene. A new piece of equipment, known as Emergency Mobile Hospital, was developed with the cooperation of the airlines, the operating authority of the airport, and other interested parties. Two such vehicles are now in constant readiness at the airport, and together provide two operating rooms, 12 monitored ICU beds, a 16-bed burn unit, and 72 other beds to be used for on-site stabilization of critically ill patients, before transfer to a definitive care facility. Under the auspices of a single area medical school (New York Medical College) and its affiliated departments of surgery, trauma teams are made available to be airlifted to the scene within 30 minutes of notification. Additional medical teams from other medical school hospitals serve as backup support. The principle of bringing the hospital to the emergency, and of assembling trauma teams for the initial phase, remains the same for Kennedy Airport as for that of any other metropolitan airport.

摘要

在纽约市的约翰·F·肯尼迪国际机场,灾难规划在过去20年里一直是机场运营不可或缺的一部分。此次灾难规划的医疗部分主要围绕肯尼迪机场的医务室展开。通过这个医务室,从机场各层级人员中组建并培训了现场应急医疗团队。1975年一架波音727飞机坠毁后,肯尼迪机场灾难规划中新增了一个概念,即把医院、其设施和人员带到事故现场。在航空公司、机场运营管理部门以及其他相关方的合作下,研发出了一种名为应急移动医院的新设备。目前机场有两辆这样的车辆随时待命,它们总共提供两个手术室、12张配有监控设备的重症监护病床、一个16张床位的烧伤病房以及72张其他床位,用于在将危重症患者转送至确定性治疗机构之前,对其进行现场稳定治疗。在一所地区性医学院(纽约医学院)及其附属外科部门的支持下,创伤团队能够在接到通知后的30分钟内被空运至事故现场。来自其他医学院附属医院的额外医疗团队作为后备支持力量。将医院带到紧急事故现场以及在初始阶段组建创伤团队的原则,对于肯尼迪机场和其他任何大城市机场来说都是一样的。

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